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Public Reporting

ACO Name and Location

Think ACO, LLC
Previous Names: N/A
7100 West Center Road
Omaha, NE 68106

ACO Primary Contact

Primary Contact NameChris Morehouse
Primary Contact Phone Number531.222.8851
Primary Contact Email Addresschris.morehouse@thinkhealthcare.org

Organizational Information

ACO Participants:

ACO ParticipantsACO Participant in Joint Venture (Enter Y or N)
Think Aksarben, LLCNo

ACO Governing Body:

Member Last NameMember First NameMember Title/PositionMember’s Voting Power – Expressed as a percentage or numberMember TypeACO Participant Legal Business Name/DBA, If Applicable
DollJasonACO Executive1ACO participant representativeThink Aksarben, LLC
ReckerRobertMedical Director1ACO participant representativeThink Aksarben, LLC
WeeksWilliamPhysician1ACO participant representativeThink Aksarben, LLC
MancusoMartinRetired Physician1Medicare beneficiary representative
ThompsonDavidPhysician1ACO participant representativeThink Aksarben, LLC

Key ACO Clinical and Administrative Leadership:

ACO ExecutiveJason Doll, MD
Medical DirectorRobert Recker, MD
Compliance OfficerCameron Arch, JD
Quality Assurance/Improvement OfficerChris Morehouse, Value Based Care Clinical Coordinator

Associated Committees and Committee Leadership:

Committee NameCommittee Leader Name and Position
Population HealthJustin Schramm, DO
Quality Assurance and Quality ImprovementChris Morehouse, Value Based Care Clinical Coordinator
Compensation/Gainshare CommitteeDoug Russell, MD

Types of ACO participants, or combinations of participants, that formed the ACO:

  • ACO professionals in a group practice arrangement

Shared Savings and Losses

Amount of Shared Savings/Losses

  • Second Agreement Period
    • Performance Year 2023: $5,673,856
    • Performance Year 2023: $6,262,254.24
    • Performance Year 2022: $6,044,807.27
    • Performance Year 2021: $2,692,110
    • Performance Year 2020: $1,493,375.13
  • First Agreement Period
    • Performance Year 2019: $2,843,195.84
    • Performance Year 2018: $0
    • Performance Year 2017: $2,412,663
    • Performance Year 201: $0

Note: Our ACO participated in multiple performance years during Calendar Year 2019. Shared savings amount reported for Performance Year 2019 therefore represents net shared savings across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

Shared Savings Distribution

Second Agreement Period

  • Performance Year 2024
    • Proportion invested in infrastructure: 0%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 100%
  • Performance Year 2023
    • Proportion invested in infrastructure: 0%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 100%
  • Performance Year 2022
    • Proportion invested in infrastructure: 0%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 100%
  • Performance Year 2021
    • Proportion invested in infrastructure: 0%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 100%
  • Performance Year 2020
    • Proportion invested in infrastructure: 0%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 100%
  • Performance Year 2019
    • Proportion invested in infrastructure: 0%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 100%

First Agreement Period

  • Performance Year 2019
    • Proportion invested in infrastructure: 0%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 100%
  • Performance Year 2018
    • Proportion invested in infrastructure: N/A
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: N/A
  • Performance Year 2017
    • Proportion invested in infrastructure: 0%
    • Proportion invested in redesigned care processes/resources: 0%
    • Proportion of distribution to ACO participants: 100%
  • Performance Year 2016
    • Proportion invested in infrastructure: N/A
    • Proportion invested in redesigned care processes/resources: N/A
    • Proportion of distribution to ACO participants: N/A

Note: Our ACO participated in multiple performance years during Calendar Year 2019. Distribution of shared savings reported for Performance Year 2019 therefore represents the distribution of the net shared savings across all performance years in 2019 and is shown under all agreement periods in which the ACO operated during Calendar Year 2019.

Quality Performance Results

2022 Quality Performance Results

Quality performance results are based on CMS Web Interface

ACO#Measure NameCMS Web InterfaceRateACO Mean
001Diabetes: Hemoglobin A1c (HbA1c) Poor Control2CMS Web Interface2.39.44
134Preventative Care and Screening: Screening for Depression and Follow-up PlanCMS Web Interface96.4281.46
236Controlling High Blood PressureCMS Web Interface88.1179.49
318Falls: Screening for Future Fall RiskCMS Web Interface97.1688.99
110Preventative Care and Screening: Influenza ImmunizationCMS Web Interface89.4368.6
226Preventative Care and Screening: Tobacco Use: Screening and Cessation InterventionCMS Web Interface76.199
113Colorectal Cancer ScreeningCMS Web Interface92.0677.81
112Breast Cancer ScreeningCMS Web Interface91.5580.93
438Statin Therapy for the Prevention and Treatment of Cardiovascular DiseaseCMS Web Interface90.4486.5
370Depression Remission at Twelve MonthsCMS Web Interface7.1417.35
479Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for MIPS Groups2Administrative Claims0.14680.1517
CAHPS-1Getting Timely Care, Appointments, and InformationCAHPS for MIPS Survey87.9183.7
CAHPS-2How Well Providers CommunicateCAHPS for MIPS Survey93.9193.96
CAHPS-3Patient’s Rating of ProviderCAHPS for MIPS Survey92.4692.43
CAHPS-4Access to SpecialistsCAHPS for MIPS Survey76.6675.76
CAHPS-5Health Promotion and EducationCAHPS for MIPS Survey69.465.48
CAHPS-6Shared Discusion-MakingCAHPS for MIPS Survey68.1462.31
CAHPS-7Health Status and Functional StatusCAHPS for MIPS Survey79.0474.14
CAHPS-8Care CoordinationCAHPS for MIPS Survey88.4685.89
CAHPS-9Courteous and Helpful Office StaffCAHPS for MIPS Survey93.7582.89
CAHPS-11Stewardship of Patient ResourcesCAHPS for MIPS Survey25.7826.98

For Previous Years’ Financial and Quality Performance Results, please visit data.cms.gov.

Payment Rule Waivers

  • Skilled Nursing Facility (SNF) 3-day Rule Waiver:
    • N/A
  • Waiver for Payment for Telehealth Services:
    • Our ACO clinicians provide telehealth services using the flexibilities under 42 CFR §425.612(f) and 42 CFR §425.613.
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